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Am J Gastroenterol：上消化道出血患者的“周末效应”

2017-11-25 zhangfan MedSci原创

上消化道出血“周末效应”死亡率
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研究发现，非静脉曲张上消化道出血患者周末急诊的死亡风险高于静脉曲张上消化道出血患者，如何保证非工作日的医疗效果仍是一个重要的课题

“周末效应”是指周末或节假日到医院就诊病人病情恶化的现象。近日研究人员就上消化道出血（UGIH）患者的“周末效应”进行系统回顾和荟萃分析。

研究人员以胃肠道出血和周末效应为关键词进行检索。研究的主要终点是比较周末入院的UGIH患者死亡率与工作日入院患者死亡率的差异，次要终点包括治疗需要和住院时间。

21项研究纳入本研究范畴。总体而言，周末入院与UGIH死亡不相关(OR：1.06；95% CI：0.99–1.14)，但对非静脉曲张UGIH亚组患者分析显示，患者周末死亡率显著升高(OR：1.12；95% CI：1.07–1.17)。周末入院对次要终点无显著影响.

研究发现，非静脉曲张上消化道出血患者周末急诊的死亡风险高于静脉曲张上消化道出血患者，如何保证非工作日的医疗效果仍是一个重要的课题。

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    2018-09-25 lqrandywkz

    #周末效应#

    0

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    2018-06-08 jktdtl

    #Gastroenterol#

    0

  3. 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    2018-03-30 ms24272190615788285182

    #AST#

    0

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topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Tue Apr 10 03:48:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1723054, encodeId=842a1e2305451, content=<a href='/topic/show?id=0cc01998259' target=_blank style='color:#2F92EE;'>#上消化道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19982, encryptionId=0cc01998259, topicName=上消化道)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b81833366357, createdName=zchen, createdTime=Sat Sep 01 10:48:00 CST 2018, time=2018-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266736, encodeId=8a6b266e36c4, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Mon Dec 04 13:06:59 CST 2017, time=2017-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266318, encodeId=7618266318f9, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sun Dec 03 00:11:23 CST 2017, time=2017-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266048, encodeId=0593266048a1, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sat Dec 02 00:01:13 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265936, encodeId=4362265936b4, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 01 11:10:14 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265803, encodeId=5ce5265803fa, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Fri Dec 01 00:08:14 CST 2017, time=2017-12-01, status=1, ipAttribution=)]
    2018-04-10 许安

    #GAS#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1944154, encodeId=1cd6194415406, content=<a href='/topic/show?id=ceec395e59e' target=_blank style='color:#2F92EE;'>#周末效应#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39575, encryptionId=ceec395e59e, topicName=周末效应)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=86b7385, createdName=lqrandywkz, createdTime=Tue Sep 25 23:48:00 CST 2018, time=2018-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2064242, encodeId=d0082064242ee, content=<a href='/topic/show?id=94ffe853a7' target=_blank style='color:#2F92EE;'>#Gastroenterol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7853, encryptionId=94ffe853a7, topicName=Gastroenterol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0bed488, createdName=jktdtl, createdTime=Fri Jun 08 11:48:00 CST 2018, time=2018-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1711267, encodeId=e08c1e112678e, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Fri Mar 30 18:48:00 CST 2018, time=2018-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071972, encodeId=fe1420e19721a, content=<a href='/topic/show?id=9d4ee84647' target=_blank style='color:#2F92EE;'>#GAS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Mon Dec 04 13:06:59 CST 2017, time=2017-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266318, encodeId=7618266318f9, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sun Dec 03 00:11:23 CST 2017, time=2017-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266048, encodeId=0593266048a1, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sat Dec 02 00:01:13 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265936, encodeId=4362265936b4, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 01 11:10:14 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265803, encodeId=5ce5265803fa, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Fri Dec 01 00:08:14 CST 2017, time=2017-12-01, status=1, ipAttribution=)]
    2018-09-01 zchen

    #上消化道#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1944154, encodeId=1cd6194415406, content=<a href='/topic/show?id=ceec395e59e' target=_blank style='color:#2F92EE;'>#周末效应#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39575, encryptionId=ceec395e59e, topicName=周末效应)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=86b7385, createdName=lqrandywkz, createdTime=Tue Sep 25 23:48:00 CST 2018, time=2018-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2064242, encodeId=d0082064242ee, content=<a href='/topic/show?id=94ffe853a7' target=_blank style='color:#2F92EE;'>#Gastroenterol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7853, encryptionId=94ffe853a7, topicName=Gastroenterol)], attachment=null, authenticateStatus=null, createdAvatar=, 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topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Tue Apr 10 03:48:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1723054, encodeId=842a1e2305451, content=<a href='/topic/show?id=0cc01998259' target=_blank style='color:#2F92EE;'>#上消化道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19982, encryptionId=0cc01998259, topicName=上消化道)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b81833366357, createdName=zchen, createdTime=Sat Sep 01 10:48:00 CST 2018, time=2018-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266736, encodeId=8a6b266e36c4, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Mon Dec 04 13:06:59 CST 2017, time=2017-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266318, encodeId=7618266318f9, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sun Dec 03 00:11:23 CST 2017, time=2017-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266048, encodeId=0593266048a1, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sat Dec 02 00:01:13 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265936, encodeId=4362265936b4, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 01 11:10:14 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265803, encodeId=5ce5265803fa, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Fri Dec 01 00:08:14 CST 2017, time=2017-12-01, status=1, ipAttribution=)]
    2017-12-04 平静的光芒

    很好的文章.

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1944154, encodeId=1cd6194415406, content=<a href='/topic/show?id=ceec395e59e' target=_blank style='color:#2F92EE;'>#周末效应#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39575, encryptionId=ceec395e59e, topicName=周末效应)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=86b7385, createdName=lqrandywkz, createdTime=Tue Sep 25 23:48:00 CST 2018, time=2018-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2064242, encodeId=d0082064242ee, content=<a href='/topic/show?id=94ffe853a7' target=_blank style='color:#2F92EE;'>#Gastroenterol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7853, encryptionId=94ffe853a7, topicName=Gastroenterol)], attachment=null, authenticateStatus=null, createdAvatar=, 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topicList=[TopicDto(id=7846, encryptionId=9d4ee84647, topicName=GAS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2dd327, createdName=许安, createdTime=Tue Apr 10 03:48:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1723054, encodeId=842a1e2305451, content=<a href='/topic/show?id=0cc01998259' target=_blank style='color:#2F92EE;'>#上消化道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19982, encryptionId=0cc01998259, topicName=上消化道)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b81833366357, createdName=zchen, createdTime=Sat Sep 01 10:48:00 CST 2018, time=2018-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266736, encodeId=8a6b266e36c4, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Mon Dec 04 13:06:59 CST 2017, time=2017-12-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266318, encodeId=7618266318f9, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sun Dec 03 00:11:23 CST 2017, time=2017-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266048, encodeId=0593266048a1, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sat Dec 02 00:01:13 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265936, encodeId=4362265936b4, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 01 11:10:14 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265803, encodeId=5ce5265803fa, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Fri Dec 01 00:08:14 CST 2017, time=2017-12-01, status=1, ipAttribution=)]
    2017-12-03 平静的光芒

    很好的文章.

    0

  8. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sat Dec 02 00:01:13 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265936, encodeId=4362265936b4, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 01 11:10:14 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265803, encodeId=5ce5265803fa, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Fri Dec 01 00:08:14 CST 2017, time=2017-12-01, status=1, ipAttribution=)]
    2017-12-02 平静的光芒

    很好的文章.

    0

  9. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Sat Dec 02 00:01:13 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265936, encodeId=4362265936b4, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Dec 01 11:10:14 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265803, encodeId=5ce5265803fa, content=很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Fri Dec 01 00:08:14 CST 2017, time=2017-12-01, status=1, ipAttribution=)]
    2017-12-01 半夏微凉

    学习了谢谢分享

    0

  10. 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objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/20/71f908320db34f36cac4a7c807970775.jpg, createdBy=c93a2154620, createdName=平静的光芒, createdTime=Fri Dec 01 00:08:14 CST 2017, time=2017-12-01, status=1, ipAttribution=)]
    2017-12-01 平静的光芒

    很好的文章.

    0

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